Abstract

Aim: To analyze the association of labor and sociodemographic factors with cessation of exclusive breastfeeding (EBF) at 3 and 6 months of life.
Materials and Methods: A prospective cohort study (n = 529) was performed in a tertiary hospital with the Baby-Friendly Hospital Initiative (BFHI) award. Labor and sociodemographic factors were investigated. Single-term newborns were included. After 3 and 6 months, telephone calls were made to determine the type of lactation. Univariate analysis was performed with the chi-square test or Fisher's exact test. Multivariable logistic regression models were developed to determine risk factors associated with cessation of breastfeeding at 3 and 6 months.
Results: At 3 months, 523 participants (98.9%) were contacted, of whom 64.4% maintained EBF. Factors associated with cessation were pacifier use (odds ratio [OR] 3.49; 95% confidence interval [95% CI] 2.24–5.43), cesarean delivery (OR 4.49; 95% CI 2.96–6.83), no college degree (OR 2.01; 95% CI 1.35–3.01), and not attending breastfeeding support groups (OR 1.96; 95% CI 1.22–3.12). At 6 months, 512 participants (96.8%) were contacted, of whom 31.4% maintained EBF. Factors associated with cessation were reintegration into the workplace (OR 4.49; 95% CI 2.96–6.83), pacifier use (OR 3.49; 95% CI 2.24–5.43), and primiparity (OR 1.61; 95% CI 1.05–2.46).
Conclusions: Several risk factors are associated with the premature cessation of EBF. There is a need to define strategies to correct modifiable factors and to promote protective factors with the aim of improving the success rate of EBF to reach the recommendations of the World Health Organization.

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Published In

cover image Breastfeeding Medicine
Breastfeeding Medicine
Volume 12Issue Number 7September 2017
Pages: 430 - 435
PubMed: 28787188

History

Published in print: September 2017
Published online: 1 September 2017
Published ahead of print: 8 August 2017

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Aurora Fernández-Cañadas Morillo
Department of Midwifery, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
Modesto Durán Duque
Department of Midwifery, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
Ana B. Hernández López
Department of Midwifery, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
Cristina Muriel Miguel
Department of Midwifery, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
Begoña Martínez Rodríguez
Neonatology and Newborn Nursery Division, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
Ana Oscoz Prim
Neonatology and Newborn Nursery Division, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
Pilar Pérez Riveiro
Neonatology and Newborn Nursery Division, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
Angel Salcedo Mariña
Department of Obstetrics, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
Ana Royuela Vicente
Clinical Biostatistics Unit, Puerta de Hierro Majadahonda University Hospital, Instituto de Investigación Puerta de Hierro (IDIPHIM), Madrid, Spain.
María L. Casillas Santana
Department of Nursing, Autónoma University, Madrid, Spain.
Miguel A. Marín Gabriel
Department of Neonatology, Puerta de Hierro Majadahonda University Hospital, Madrid, Spain.
Department of Pediatrics, Autónoma University, Madrid, Spain.

Notes

Address correspondence to:Miguel A. Marín Gabriel, MD, PhDDepartment of NeonatologyPuerta de Hierro Majadahonda University HospitalC/Manuel de Falla s/n. CP 28222MajadahondaMadrid 28221Spain
E-mail: [email protected]

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No competing financial interests exist.

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